title: The application of axial superficial temporal artery island flap for repairing the defect secondary to the removal of the lower eyelid basal cell carcinoma.
abstract: Our aim was to investigate the repair of the defect that follows excision of a basal cell carcinoma (BCC) of the lower eyelid. Skin projections of the superficial temporal artery and its frontal branches were marked using Doppler ultrasonography. The lesion was excised with 0.5-1.5cm margins. Frozen sections were taken to clarify the diagnosis. The frontal flap was designed according to the preoperative labelling, and was 0.5cm larger than the defect. The pedicle was 1.0-1.5cm longer than the distance between the pedicle and the defect, and the width of the pedicle was 3cm. If the lesion affected the full thickness of the lower eyelid, a conjunctival flap was sutured with the flap. A skin graft was applied when the defect was large. Such defects have been repaired successfully in 10 patients. There was no secondary defect or ectropion postoperatively. The superficial temporal artery frontal branch island flap is a satisfactory method for the repair of a defect secondary to a BCC of the lower eyelid.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zheng
authors.affiliation: Department of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
authors.forename: Jianhui
authors.initials: J
authors.lastname: Zhao
authors.affiliation: Institute of Burn Surgery, Xiangya Hospital, Central-South University, Changsha, Hunan 410008, China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Wang
authors.affiliation: Institute of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
authors.forename: Chenggang
authors.initials: C
authors.lastname: Yi
authors.affiliation: Institute of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Xia
authors.affiliation: Institute of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Li
authors.affiliation: Institute of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China. Electronic address: maxianjie2013@163.com.
authors.forename: Xianjie
authors.initials: X
authors.lastname: Ma
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery*; D058128:Compression Bandages; D005142:Eyelid Neoplasms / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D005260:Female; D006085:Graft Survival; D006801:Humans; D006940:Hyperemia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation*; D013699:Temporal Arteries / Q000000981:diagnostic imaging / Q000637:transplantation*; D018608:Ultrasonography, Doppler / Q000379:methods
keywords: Basal cell carcinoma; Frontal branch; Low eyelid reconstruction; Superficial temporal artery